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General NPI Number Information
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NPI Number | 1699565655
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Entity Type | Organization
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Legal Business Name | GRAYCE MEDICAL, CA PC
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Dates
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Enumeration Date | 05/12/2025
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Last Update Date | 08/07/2025
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Provider Practice Location Address
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Address Line | 1400 GREENWICH ST APT 9
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City | SAN FRANCISCO
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State | CA
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Zip | 94109-1444
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Country | US
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Telephone | 628-237-0813
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Fax |
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Provider Business Mailing Address
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Address Line | 1400 GREENWICH ST APT 9
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City | SAN FRANCISCO
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State | CA
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Zip | 94109-1444
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Country | US
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Telephone |
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Fax |
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Authorized Official
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Title or Position | PRESIDENT
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Name | DR. MARK SHEN
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Credential | MD
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Telephone | 512-779-7276
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 208D00000X
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Taxonomy Name | General Practice Physician
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License Number |
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License Number State |
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